Neuromuscular Scoliosis Spinal Fusion — Propofol Infusion Management — Clinical Pathway

Neuromuscular Scoliosis Spinal Fusion — Propofol Infusion Management — Clinical Pathway

Propofol Infusion Management

Initial Infusion 250 mcg/kg/min, with induction bolus
Infusion Management
  • After initial dissection, (Bovie precludes depth assessment)
    • Reduce to 200 mcg/kg/min
  • Thereafter, assess depth q20 min
    • Reduce infusion by 25 mcg/kg/min, if possible
  • Goal infusion rate at or near 100 mcg/kg/min when surgeons are irrigating and preparing for skin closure
Increased Sedation Requirement Bolus 1 mg/kg and increase infusion by 25 mcg/kg/min
Facilitation of Emergence and Extubation After final monitoring complete, continue propofol infusion (preferred) with progressive dose reduction or transition to inhalational anesthesia